Manufacturer:
Auditor: Signature
Name
1. Scope
This checklist is applicable for sterilization procedures with irradiators making use of the radionu-
clides 60Co and 137Cs, or generating accelerated electrons, or generating X-rays by accelerating elec-
trons. Compared with the previous version, EN 552, the scope of ISO 11137-1 has been modified to
This document becomes invalid when printed or filed in any place other than the original storage location.
accommodate requirements for the design of sterilization methods. The particulars with respect to the
determination of the sterilization dose rate as well as dosimetry and dose rate measurement have
been cancelled and are now accommodated in ISO 11137-2 and ISO 11137-3 respectively.
Each user must ensure to work only with the currently valid revision of this document!
This checklist shall be used for assessment of operators of the corresponding sterilization facilities.
Where sterile products are to be included in the companys product spectrum, a sterilization assess-
ment (including assessment of design and validation of sterilization processes) must be carried out
based on at least one product file of a sterile product. For sterile products of risk class III, the docu-
mentation of design and validation must be examined.
Where an assessment of sterilization procedures validation is necessary as a part of the QM assess-
ment for medical products, the present checklist should be applied in case of radiation used as the
sterilizing agent.
Lead Auditor
The lead auditor is responsible for the examination and evaluation of the QM system in respect of the
customers system documentation, the related standards and the ruling according to ISO 13485
and/or the Council Directive 93/42/EWG.
He is responsible for the work of the audit team and for the observance of the DQS processes. In
case where the lead auditor is not a technical expert himself, he should accept the evaluation of the
sterilization validation by the technical expert without any protest.
Technical expert
The expert is responsible for the competent evaluation of the aspects of the QM system that are spe-
cific for a product or a procedure. The assessment of the design documentation, especially those
parts specifying the design and validation of sterilization procedures, is his essential task.
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The assessment results must be formulated in the audit report, where a reference to this checklist can
be made.
separately.
The evaluation of the documentation and implementation of a standards requirement should be
Each user must ensure to work only with the currently valid revision of this document!
6. Audit protocol
Please use the DQS form Findings (Feststellungen). The findings must contain a reference to the
checklist questions. These can be entered in the column Reference (Referenz). Please use the
numbering system of the standard using at least two digits of the requirements number (e.g. 4.2 for
Management Responsibility associated with ISO 11137-1). Additional evidence, such as copies of
manufacturers documentation, should be ordered clearly (e.g. using the numbers).
7. Abbreviations
SAL Sterility assurance level
IQ Installation qualification
OQ Operation qualification
PQ Performance qualification
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4 Quality management systems
4.1 Documentation
4.1.1 Have procedures for the design, validation, routine control and product release from ster-
ilization been specified?
4.1.2 Are all documents and records that are necessary according to ISO 11137-1 reviewed,
This document becomes invalid when printed or filed in any place other than the original storage location.
4.2.1 Are responsibilities and authorities for all the requirements of ISO 11137-1 specified and
assigned*) to qualified persons?
4.2.2 Is there a contract agreement about the responsibilities and authorities, in case several
organizations (with separate quality management systems) are involved?
4.3.3 Is a system for calibration of all equipment and testing instruments specified**)?
4.3.4 Is the metrological aspect of the dosimetry traceable to national or international standards
and is it of a known degree of measurement uncertainty?
4.4 Are procedures for the control of nonconforming products, corrections, corrective actions
and preventive actions specified*)?
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5.1.2 For electrons or X-rays: has the energy of electrons been specified?
Is the electron beam energy >10 MeV (accelerated electrons) resp. >5 MeV (X-Rays)? If
yes, is there a documented assessment of the potential for induced radioactivity in the
product? (Section 8)
5.4 Are there, in the context of carrying out radiation sterilization procedures,
documented evaluations of possible environmental effects and impacts?
specified actions for environmental protection?
specified and implemented measures for monitoring (if identified)?
6.1 Process
6.1 Have process variables been defined and means for monitoring and controlling them been
determined?
6.2 Equipment
6.2.1 Has the irradiator and its mode of operation been specified? If necessary, has the specifi-
cation of the irradiator been revised (see 12.5.1) and retained for its life cycle?
6.2.2 Is the software used for controlling and monitoring the process developed according to a
quality management system providing documented evidence that the software conforms
to its design intention?
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6.2.3- Does the technical documentation, according to the type of the irradiator, describe the
6.2.5
following aspects?
NOTE: the required aspects depending on the respective radiation facilities are indicated in the fol-
lowing table with the number of the respective standards requirement.
the activity, type of radionuclide and its activity, the geome- 6.2.3 b) n. a. n. a.
The premises including the location of the irradiator 6.2.3 c) 6.2.4 c) 6.2.5 d)
Means for segregation of irradiated products from non- 6.2.3 d) 6.2.4 d) 6.2.5 e)
irradiated products (10.3, 10.4)
The construction and mode of operation of each relevant 6.2.3 e) 6.2.4 e) 6.2.5 f)
conveyor system
The conveyor paths and range of conveyor speed 6.2.3 f) 6.2.4 f) 6.2.5 g)
The method of operation and maintenance of the irradiator 6.2.3 h) 6.2.4 h) 6.2.5 i)
and every relevant conveyor system
source
Means of indicating that the electron beam and conveyor n. a. 6.2.4 i) 6.2.5 j)
system are operating
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Means for halting irradiation in case of a failure of the con- n. a. 6.2.4 j) 6.2.5 k)
veyor system which affects the radiation dose.
7 Product definition
Each user must ensure to work only with the currently valid revision of this document!
7.1-7.2 Is the product to be sterilized, including packaging materials and modifications (12.5.2) to
the product, its packaging or configuration within the packaging specified?
7.3 Is there a system for monitoring the condition of the products (including their bioburden)
intended for sterilization such that the effectiveness of the sterilization process is not com-
promised? Is the effectiveness of this process demonstrated and does it include the de-
termination of the bioburden according to 11737-1?
7.4 If the sterilization dose for a product family is established, are the requirements of 11737-
2:2005, Clause 4, for the definition product family satisfied?
7.5 If a processing category is defined for the purpose of routine processing, have criteria for
assessment as to whether it is to be included in a processing category been documented?
Have product-related variables affecting the radiation dose and product-related parame-
ters for processing been taken into consideration? Are there documented records of these
assessments (see 4.1.2)?
7.6 Are there periodic documented reviews of the criteria for the inclusion of products or prod-
uct groups in processing categories? Are the results of these reviews recorded (see
4.1.2)?
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8 Process definition
8.1.1, Have the maximum acceptable dose and the sterilization dose for the product been estab-
8.2.1,
8.3 lished? Does the product meet its specified functional requirements after treatment with
the maximum acceptable dose throughout its defined lifetime?
This document becomes invalid when printed or filed in any place other than the original storage location.
8.1.2, Have the following aspects been incorporated into the basic technical requirements for the
Each user must ensure to work only with the currently valid revision of this document!
8.2.3
determination of the maximum acceptable dose and the sterilization dose?
NOTE: the required aspects regarding the dose are indicated in the following table by the number of
the respective norm requirement.
8.2.2 Is one of the following procedures used to determine the sterilization dose:
a) Knowledge of number / radiation resistance of the bioburden is acquired and used
(ISO 11137-2:2006, 6.1)?
b) Establishing a dose of 25 kGy or 15 kGy respectively and confirmation (by evidence
available to the primary manufacturer) that this dose fulfils the specified requirements
for sterility (ISO 11137-2:2006, 6.2)?
8.4.1 Should the maximum acceptable dose be transferred to another radiation source, is a
documented evaluation carried out to prove that the validity of the dose is not impacted?
Are there records of the evaluation results (see 4.1.2)?
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8.4.2ff During the transfer of the verification or sterilization dose, is it controlled that one of the
following conditions is fulfilled?
a) There was evidentiary data proving that changes in the usage conditions of the two
radiation sources had no effect on the effectiveness of sterilization.
For products containing water in the liquid state, dose transfer is only permitted
between two radiation sources (electron beam, X-ray) operating under identical
Each user must ensure to work only with the currently valid revision of this document!
9 Validation
9.1.1 Have operating procedures for the irradiator and each associated conveyor system been
specified?
9.1.2 Is a documented verification of the procedure and auxiliary materials including software
carried out with respect to operations within the design specifications? Are the results re-
corded (see 4.1.2)?
Are the following aspects determined, documented and recorded (see 4.1.2)?
9.1.4 for -irradiators - activity of the source, description of the positions of individual com-
ponents of radiation source?
9.1.5- for electron beam generators and X-ray generators characteristics of radiation
9.1.6
(electron or X-ray energy, average beam current and, if applicable, scan width and
scan uniformity)?
9.2.1 Is the calibration of all measurement and test instruments confirmed before OQ? (see
4.3.3)
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9.2.2 Is the OQ carried out by irradiating homogenous material representative of the product to
be processed? Are the operational abilities and adequacy of the irradiator adequately
demonstrated defined specified acceptance criteria (Section 8)?
9.2.3- Is dose mapping carried out correctly within material containers as well as within fully
9.2.4
loaded irradiators (using suitable dosimeters and sufficient measurement points for effec-
tive reproducibility)? ( ISO 11137-3)
9.2.5 Is dose mapping carried out on a sufficient number of irradiation containers to allow to
determine the dose variability and distribution between the containers?
This document becomes invalid when printed or filed in any place other than the original storage location.
9.2.6 Is the dose mapping carried out for each conveyor path used to process product?
Each user must ensure to work only with the currently valid revision of this document!
9.2.7 Are the effects of an interruption of the process on the dose determined and recorded?
9.2.8 Do the records of dose mapping include the following: Description of the irradiation con-
tainers, operating conditions, used materials, dose measurement, conclusions?
9.2.9 For facilities: Is the relationship between timer settings, the speed of the conveyor sys-
tem and the dose determined?
9.2.10 For electron beam and X-ray irradiators: During dose mapping, do the fluctuations in ra-
diation characteristics (see 9.1.5, 9.1.6) lie within the limiting values according to the irra-
diator specifications (see 6.2.4, 6.2.5)?
9.2.11 For electron beam and X-ray irradiators: Is the relationship between beam characteristics
(see 9.1.5, 9.1.6), speed of the conveyor system and the dose determined?
9.3.1 Is dose mapping carried out using a product loaded in irradiation containers according to a
specified loading pattern, so that the following can be identified / determined?
b) The relationships between the minimum / maximum dose and the dose(s) at the rou-
tine monitoring point(s)
9.3.2 Is the manner of presenting product for sterilization specified, with inclusion of
c) Description of the irradiation containers (in case multiple types are used)?
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d) Description of the conveyor paths (in case multiple conveyor paths are used within the
irradiator)?
9.3.3 Is dose mapping carried out for every processing class (7.5)?
9.3.4 If partially filled irradiation containers are used during routine processing, is the effect of
partial filling on dose distribution within irradiation containers as well as on other contain-
ers present within the irradiator determined and recorded (see 4.1.2)?
9.3.5 Are the irradiation containers used for dose mapping representative and sufficient for the
determination of dose fluctuations between containers?
This document becomes invalid when printed or filed in any place other than the original storage location.
9.3.6 Is dose mapping carried out for each conveyor path used for processing the defined prod-
Each user must ensure to work only with the currently valid revision of this document!
uct?
9.3.7 For - and X-ray irradiators: is dose mapping carried out to identify products (or, if used,
processing categories) that can be processed with the product being mapped? Are the
effects of the dose on products of different densities determined to define products that
can be processed together?
9.3.8 Are the following aspects included in the records for dose mapping: description of irradia-
tion containers, loading patterns, conveyor path, irradiator operating conditions, dose
measurement, conclusions?
9.4.1- Is the information generated during IQ, OQ and PQ reviewed and the outcome of this re-
9.4.2
view recorded and used as a basis for the process specification? (see 4.1.2)
9.4.3- Does the process specification for the respective type of irradiator contain details to the
9.4.4
following aspects:
NOTE: The required aspects depending on the respective radiation facilities are indicated in the fol-
lowing table with the number of the respective norm requirement.
The loading pattern of the product within the irradiation con- 9.4.3 b) 9.4.4 b)
tainer (see 9.3.1)?
The conveyor path(s) to be used for the product (see 9.3.6)? 9.4.3 c) 9.4.4 c)
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The maximum acceptable dose (see 8.1)? 9.4.3 d) 9.4.4 d)
For products that support microbial growth: the maximum time 9.4.3 f) 9.4.4 f)
interval between manufacture and the completion of irradia-
tion?
The relationships between the dose at the monitoring posi- 9.4.3 h) 9.4.4 h)
This document becomes invalid when printed or filed in any place other than the original storage location.
For products that are to be exposed to the radiation field more 9.4.3 i) 9.4.4 j)
than once, all required re-orientation between exposures?
10.1 Are procedures specified for handling of the product and maintenance of product integrity
before, during and after irradiation?
10.2 Is the number of products during acceptance, loading and unloading, handling and release
controlled and are all discrepancies in the count resolved prior to release?
10.4 Has it been determined, that radiation sensitive visual indicators are not being used as the
sole proof of adequate radiation processing or as the sole means of differentiating irradi-
ated products from non-irradiated products?
10.5 Is the product loaded into the irradiation container in accordance with the process specifi-
cation (see 9.4.3, 9.4.4)?
10.6- Are dosimeters used at the predetermined routine monitoring position(s) in sufficient fre-
10.7
quency to verify that the process is in control? Are the measured dosimetric results re-
corded (see 4.1.2) and analyzed?
10.8 a) For -irradiators: are the settings of the timer and/or conveyor speed set according to a
documented procedure to take account of nuclide decay?
10.8 b) For -irradiators: Is the position of the -source, the setting of the timer and/or conveyor
speed and the movement of the irradiation container monitored and recorded (see 4.1.2)?
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10.9 For electron beam generators and X-ray irradiators Are the characteristics of the elec-
tron rays (see 9.1.5, 9.1.6) and the conveyor speed monitored and recorded (see 4.1.2)?
10.10 Are all process interruptions and non-conformances as well as all corrective actions taken
against these monitored and recorded (see 4.1.2)?
10.11 Do the records of radiation processing show the date of irradiation and allow the traceabil-
ity of batches (see 4.3.2)?
11.1 Before product release, are all specific periodic tests, calibrations, maintenance work and
Each user must ensure to work only with the currently valid revision of this document!
11.2 Are procedures for the review of records and product release from sterilization specified?
Do these procedures define the requirements (see 9.4.3/9.4.4) for designating a steriliza-
tion process as one conforming to the standard, taking the uncertainties of the measure-
ment system(s) into account?
If these requirements are not satisfied, is the product considered defective and handled
accordingly (see 4.4)?
12.1.1 Is the continued effectiveness of the established sterilization dose demonstrated by de-
termination of the bioburden and inspecting the sterilization?
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12.1.2.4 Time interval between manufacturing of batches is greater than 1 resp. With every manufactured
3 months (see conditions mentioned above) batch
12.1.2.5 In case the result of the determination of bioburden exceeds the specified limit
Are QM-actions taken and an inspection of the sterilization dose conducted, in case
the bioburden is evidenced in this inspection?
Depending on the result of this inspection, are the following procedures implemented?
This document becomes invalid when printed or filed in any place other than the original storage location.
Result Procedure
Each user must ensure to work only with the currently valid revision of this document!
b) Sterilization dose Continuing sterilization with the dose used prior to the sterilization dose inspection,
inspection suc- keeping with the following auxiliary conditions:
cessful, the
bioburden how- In case of Auxiliary Conditions
ever still exceeds
the specified limit-
ing value 1) The sterilization dose is established Inspection of sterilization dose every
using Method 1 (ISO 11137-2) 3 months until bioburden lies within
the limiting values or a new steriliza-
tion dose is specified
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12.1.3.1 Is one of the following procedures followed in order to establish the frequency of steriliza-
tion dose inspections?
b) An explanatory statement for the selection of the time interval is prepared and docu-
mented, taking into account and making reports of: review and conclusions reached,
with respect to, at least:
2) Available data from determination of bioburden, the time period during which this
data was obtained and the characterization of the microorganisms that comprise
Each user must ensure to work only with the currently valid revision of this document!
the bioburden
4) The method used to establish the sterilization dose and the cautionary measures
related to the procedure
5) The difference between the dose used in routine processing and the sterilization
dose, together with a cautionary measure related to this difference
6) The materials of which the product is comprised, especially the usage of materials
of natural origin and the control of microbiological quality of these materials
12) Available data regarding the microbiological characteristics of other products in the
same product family
12.1.3.2 On increasing the time interval between inspections of the sterilization dose, are the fol-
lowing conditions fulfilled?
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a) There are at least four consecutive inspections of the sterilization dose conducted in
the previously selected time intervals, whose results have required neither increase
nor reestablishment of the sterilization dose
b) There is data available to prove the stability of bioburden within its specification over
the same time period as above in a). This data includes:
1) Determination of bioburden at least every three months
2) The characterization of bioburden (e.g. the inspection of colonial or cellular mor-
phology, the staining characterizations or the usage of selective culturing)
This document becomes invalid when printed or filed in any place other than the original storage location.
c) The manufacturing of the product is controlled with respect to bioburden and the effec-
tiveness of this control is demonstrated by implementing the elements of a QM system
Each user must ensure to work only with the currently valid revision of this document!
12.1.3.4 With every manufactured batch, if the time interval between the manufacturing of the
charges is greater than the specified time interval between sterilization dose inspec-
tions, or
12.1.3.5 If the sterilization dose inspection is unsuccessful, are measures in accordance with
ISO 11137-2:2006, Section 10 implemented? Is a sterilization dose inspection conducted
every 3 months, until one of the following conditions is fulfilled?
a) The cause of failure of the sterilization dose audit or the increase in bioburden is in-
vestigated and corrections and/or corrective actions are implemented.
b) The rationale for the time interval (12.1.3.1) is investigated, and, if necessary, a new
time interval is determined.
c) The criteria for increasing the time interval according to 12.1.3.2 are fulfilled.
12.2 Recalibration
12.2 Are the accuracy and reliability of all instruments used to control, indicate or record the
sterilization process verified periodically (see 4.3.3)?
12.3.1- Is there a documented procedure for planning and performing preventive maintenance?
12.3.2
Are records regarding this retained (see 4.1.2)? Is a documented inspection for the main-
tenance plan / measures / records periodically conducted by a designated person and its
result evaluated?
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12.4 Requalification of equipment
12.4.2- Are requalification procedures specified and records of requalification retained (see
12.4.3
This document becomes invalid when printed or filed in any place other than the original storage location.
12.5.1 For any change to the radiation facility that could impact the dose or dose distribution, is
an assessment carried out? Is there a revalidation (IQ, OQ and/or PQ, see 9.1-9.3) in
case of such impacts? Is the outcome of the assessment recorded, including the rationale
for the decisions reached (see 4.1.2)?
12.5.2 For any change to a product, its packaging or the presentation of a product for steriliza-
tion, is there a documented (see 4.1.2) assessment of its effects on the appropriateness of
the sterilization process? Are those parts of process definition or PQ that have to be un-
dertaken determined based on the nature of the change? Is the outcome of the assess-
ment, including the rationale for the decisions reached, recorded?
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